Imogene King’s Theory of Goal Attainment Nearly every person on Earth has a desire to be heard and have their feelings and opinions matter to others. This is especially true when it comes to matters of one’s own health. To have the capacity to engage with doctors and nurses over decisions involving healthcare decisions is one of the keys to improving health. This is what Imogene King determined to be the case when developing her Theory of Goal Attainment. Analyzing King’s Theory of Goal Attainment as well as examining it from both the patient’s and the nurse’s perspective will give a clearer understanding of the theory and how it is applicable in the clinical setting today.
Analysis of Theory of Goal Attainment
Imogene king developed her
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Personal, which includes the patient’s self-perception, their growth and development, their body image and space and time. Interpersonal includes interactions with other, exceptional communication, role and stress. Social includes organization, authority, status, power and decision making (King, 1997).
The need for accurate and understandable health information is key to curing and preventing illness and it affects the patient on a personal, interpersonal, and social plane. On the personal level, the patient has a need to understand his or her body, not only how it functions but also when it is not functioning properly. They also want to know what the cause is and how to best treat it. Because the patient wants to have a positive self-perception they strive most likely go to great links to understand what it is the nurse is telling them. In her article, Mary b. Killeen, when deciphering King’s theory describes perception as a process whereby humans transact with the environment they are in (Killeen, 2007). Therefore, for patient to fully grasp the situation, the nurse must take into account the patient’s education level, their state of mind, and their willingness to absorb what the nurse is telling them.
Interpersonally, the nurse needs to have meaningful and open dialogue going with patient at all times. The nurse should make certain that the patient
If the patient is doing that then the nurse should not get dishearten but should find mean to handle that situation. Humility is when people are able to understand that no one is perfect. Furthermore people should always thank for the good things that come in their way rather than comparing oneself with others. It is always best to be proud of our own selves that at least you as person have done something good in life. Likability is when people are able to face or tackle problem in life. Nurses should be able to see other people’s point of view, i.e. how nurses are able to understand their situation. Like here you cannot always be correct but they have to take other peoples opinion. It is not always that one peoples opinion can be right but other peoples opinion can also be correct. For example a person has had an accident on the way and that person is bleeding and the nurse is in charge and the situation arises where the nurse thinks to do the treatment or not because when the nurse sees the blood she panics but actually the nurse should be brave enough to carry out the treatment during that particular time. Self awareness actually gives the ability to be open, and aware of how it impacts others.
As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.
An important aspect of nurse practice is communication as it is the process of transferring information, feelings and ideas (RCN, 2015). It also provides knowledge based on identifying behaviour patterns, establish a relationship between nurse and patient and it is also
The client is more than the patient I am caring for on the unit. It extends to the family, caregivers, and friends. When working with complex patients, I remind families they are the “expert” on the patient. They feel valued knowing their information and input is
Imogene King was born in 1921in Iowa. Growing up, she dreamed of being a teacher but began nursing school to escape her small town life. She graduated with a diploma in nursing in 1945, then three years later earned a Bachelor of Science in Nursing Education and worked as medical-surgical instructor and an assistant director at St. John’s School of Nursing until 1958, fulfilling her lifelong dream of being a teacher wither nursing career. She went on to earn a Master of Science in Nursing in 1957 and a doctorate in education in 1961 (Imogene King, 2011). King then became an associate professor at Loyola University in Chicago and formed a master’s degree program that was based on her nursing concepts, which later became the framework for her theory.
Language and behavior. In any profession, there is specific language that goes along with it. A nurse’s terminology is made up of mostly medical terms that are a person’s anatomy and physiological make up, medications, diseases, procedures etc. To be an effective communicator in this profession being up to date on medical terminology is a must. This is called the standardized language of medicine. “When everyone understands what a condition, medicine, or procedure is, they are able to fulfill their roles accordingly, whether that is delivering medicine or billing for a medicine” (PCC Institute of Health Professionals, 2017). Along with language expectations, there are ways a nurse is expected to carry themselves. Patients expect their nurses to be compassionate, keep them informed, and have good bedside manner. This means
Listening and attending, empathy, information giving and support in the context of a nurse-patient relationship are identified as essential communication skills in nursing (Timmins, 2007).
Arnold E (1999). Interpersonal Relationships: Professional Communication Skills for Nursing. 3rd Edition. Philadelphia: WB Saunders Company.
Imogene King was the Midwestern, twentieth century nursing theorist that developed the conceptual system and theory of goal attainment and transactional process. Although not without controversy, her theory has been the spring board for some middle range nursing theories and nursing education programs. This theory is particularly intriguing to individuals who are goal driven and will be explored in detail in the following paragraphs.
As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.
Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
Working well with people is an important factor in the nursing career; a nurse must always be respectful to every patient regardless of the situation. Persuasion sometimes has to be used because a patient may not want a certain medication so a nurse must help the person understand that it is what is best for him or her health and their track to recovery. A nurse must always pay close attention to their patients because if problems or concerns come up, a nurse must be the first to notice it.
Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.
Nurses may play different roles in the field, but their responsibilities are all very similar. Nurses must be confident in everything they do and be patient with people. They should have strong listening